Initiating Hospital Community Benefit Partnerships

Introductions Kate Hill-Johnson, MA Admin. Director of Community Health Improvement Post-Acute Care and Compliance Division Franciscan Health Katharine.hill-johnson@franciscanalliance.org (317) 294-5201 cell (317) 528-3296 office

Franciscan Health

14 Hospitals Today*

Objectives Define the community benefit regulation Examine the components of a Community Health Needs Assessment (CHNA) and Community Health Improvement Plan Explore opportunities to engage hospitals in community health work

The IRS Regulation—Why?

Regulation Review (Federal and Some States) Community Health Needs Assessment (CHNA) Community Health Improvement Plan (CHIP) Annual reporting/tracking I-990 Partnerships are vital, especially with public health agencies and healthy community coalitions Evaluation and outcomes should be reported All items publically available (accountability and transparency) Consequences: Loss of non-profit status, fine of up to $50,000 per day

Community Health Needs Assessments Hospitals must: Define community Gather public, stakeholder, and expert data Not excluded populations for ease Post reports publically Identify location in 990 Include action plan (Community Health Improvement Plan)

What Types of Programs ‘Count’ Community benefits are programs or activities that promote health and healing in response to identified community needs and meet at least one of these community benefit objectives: Improve access to healthcare services. (Majority of funds) Enhance the health of the community. (6%) Advance medical or healthcare knowledge. (23% education, 15% research) Relieve or reduce the burden of government or other community efforts.

Catholic Health Association Guiding Principles Those who live at the margins of our society have a priority for services. Not-for-profit health care has a responsibility to work toward improved health in the communities they serve. Health care facilities should actively involve community members, organizations and agencies programs. Health care organizations must demonstrate the value of their community service. Community benefit programs must be integrated throughout the organization. Leadership commitment is required for successful community benefit programs.

Community Benefit Issues Lack of understanding of the public health system Lack of knowledge in program planning, evaluation Small allocated funds (3.5%-10%, 5% mean) Unstable internal and external environments Health care versus public health ‘languages’ Bad debt vs charitable care future Research restrictions future Scope of service (joint ventures, Accountable Care Organizations, etc)

How Do You Navigate Assessments? Go to the hospital website for ‘CHNA,’ ‘CHIP,’ and reports Look through report for name of staff or department (community benefit, community relations, community health, about us, marketing, outreach, mission, etc), priorities, key findings, partners, funding, and other information Information on outside database sites are generally dated

Resources 2010-2014 partial tax data: http://communitybenefitinsight.org/ Information about community benefit and health: https://www.communitycatalyst.org/ Community benefit guidance: https://www.chausa.org/communitybenefit/community-benefit Build your own assessment: https://www.communitycommons.org/

Summary Questions? Define the community benefit regulation Examine the components of a Community Health Needs Assessment (CHNA) and Community Health Improvement Plan Explore opportunities to engage hospitals in community health work Questions?